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  5. FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.

FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.

Company Details

Name: FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 12 Jun 1997 (28 years ago)
Entity Number: 19971094103
ZIP code: 81303
County: La Plata County
Place of Formation: COLORADO
Principal Address: 72 Suttle St Ste E Durango CO 81303 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C., 401K PROFIT SHARING PLAN 2015 841412137 2016-10-12 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing MICHELLE SAINIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing MICHELLE SAINIO
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C., 401K PROFIT SHARING PLAN 2014 841412137 2015-10-15 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MICHAEL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing MICHAEL JOHNSON
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C., 401K PROFIT SHARING PLAN 2013 841412137 2014-10-15 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C., 401K PROFIT SHARING PLAN 2012 841412137 2013-10-15 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2011 841412137 2012-10-02 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Plan administrator’s name and address
Administrator’s EIN 841412137
Plan administrator’s name FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.
Plan administrator’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303
Administrator’s telephone number 9703855432

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2010 841412137 2011-09-08 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Plan administrator’s name and address
Administrator’s EIN 841412137
Plan administrator’s name FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.
Plan administrator’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303
Administrator’s telephone number 9703855432

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-08
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2009 841412137 2010-10-12 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9703855432
Plan sponsor’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303

Plan administrator’s name and address
Administrator’s EIN 841412137
Plan administrator’s name FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C.
Plan administrator’s address 72 SUTTLE STREET, SUITE E, DURANGO, CO, 81303
Administrator’s telephone number 9703855432

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing JENNIFER JOHNSON
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20248279823 File Report 2024-12-02 2024-12-02 No data Principal address changed
20238244172 File Report 2023-11-28 2023-11-28 No data No data
20231285408 File Report 2023-03-14 2023-03-14 No data Change in registered agent information
20221357051 File Report 2022-04-05 2022-04-05 No data No data
20208132125 File Report 2020-12-30 2020-12-30 No data No data
20191953403 File Report 2019-12-02 2019-12-02 No data No data
20181968360 Statement Curing Delinquency 2018-12-13 2018-12-13 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. No data
20141557452 File Report 2014-09-12 2014-09-12 No data No data
20131592513 File Report 2013-10-15 2013-10-15 No data No data
20121413953 Statement Curing Delinquency 2012-07-31 2012-07-31 FOUR CORNERS ORAL & MAXILLOFACIAL SURGERY, P.C. No data

Related by officers

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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